Field support in Southern Sudan Agnes Comfort Barbara Stilwell, Capacity Project

Key issues – governance and government Weak MOH and weak governance generally Appointees are ex-army with no experience of running a Ministry: weak management capacity Serious lack of coordination across departments especially with the presence and projects of so many donors MOH staff are overworked and not performing well: poor facilities and equipment Poor budget awareness and control

Weak MOH and weak governance generally

Appointees are ex-army with no experience of running a Ministry: weak management capacity

Serious lack of coordination across departments especially with the presence and projects of so many donors

MOH staff are overworked and not performing well: poor facilities and equipment

Poor budget awareness and control

Key issues Few health workers: <1:1000 people Distribution bias to towns Motivation variable Trying to change curriculum from Arabic to English – translation of some curricula now complete, but no teachers Desperately poor infrastructure – classrooms, equipment, books – and not in English Few qualified teachers Small pool of suitable applicants: under a quarter of eligible children attend secondary school Medical school still in Khartoum

Few health workers: <1:1000 people

Distribution bias to towns

Motivation variable

Trying to change curriculum from Arabic to English – translation of some curricula now complete, but no teachers

Desperately poor infrastructure – classrooms, equipment, books – and not in English

Few qualified teachers

Small pool of suitable applicants: under a quarter of eligible children attend secondary school

Medical school still in Khartoum

Capacity in Southern Sudan Significant presence, trusted by the government Taking a strategic, systems approach to workforce development Working with partners

Significant presence, trusted by the government

Taking a strategic, systems approach to workforce development

Working with partners

To date (1) ………….. First multisectoral HRH forum in Southern Sudan, attended by over 40 representatives of the Central MoH, State MoH and all partners: August 2006 Contributed significantly to the development of HR policy and implementation plan: 2006-7 HRIS assessment done and implementation about to begin

First multisectoral HRH forum in Southern Sudan, attended by over 40 representatives of the Central MoH, State MoH and all partners: August 2006

Contributed significantly to the development of HR policy and implementation plan: 2006-7

HRIS assessment done and implementation about to begin

To date (2) …………. Implemented a range of leadership initiatives and different levels of system Contributed to the training and eventual repatriation of 15 Southern Sudanese doctors

Implemented a range of leadership initiatives and different levels of system

Contributed to the training and eventual repatriation of 15 Southern Sudanese doctors

Infrastructure in Juba

Office for Capacity? February 07

Office now open – March 07

Capacity opportunities 07-08 HRIS – continue to develop robust system Performance assessment with teams from all States: what competencies are needed to deliver BPHS? Working with AMREF Resources centers: 2 to begin Repatriating doctors and perhaps others Leadership development – follow up, mentoring and coaching Supporting implementation of HR policy

HRIS – continue to develop robust system

Performance assessment with teams from all States: what competencies are needed to deliver BPHS? Working with AMREF

Resources centers: 2 to begin

Repatriating doctors and perhaps others

Leadership development – follow up, mentoring and coaching

Supporting implementation of HR policy

Resource room Juba hospital

Juba hospital

Developing capacity 10% at a time